Drexel University College of Nursing and Health Professions, Philadelphia, PA, USA.
University of Pennsylvania School of Nursing, Philadelphia, PA, USA.
J Appl Gerontol. 2021 Jun;40(6):590-597. doi: 10.1177/0733464820933774. Epub 2020 Jul 1.
Older adults receiving long-term services and supports (LTSS) experience barriers to outdoor activities and satisfaction ratings with such experiences are not well understood. Our study used cross-sectional data ( = 329) to (a) examine whether those new to LTSS were satisfied with their outdoor activities and (b) describe the characteristics and factors associated with satisfaction levels. Self-report of satisfaction with outdoor activities was the outcome variable. Multivariable linear regression modeling of the outcome was conducted. Fifty-nine percent were satisfied with their outdoor activities. More depressive symptoms ( < .001) and higher cognitive functioning ( = .011) were associated with lower ratings. Higher self-rated physical health ( = .009) and more independence with activities of daily living ( = .022) were associated with greater satisfaction. Findings suggest an unmet need among four in 10 new recipients of LTSS (41%) related to their outdoor activities. LTSS interdisciplinary teams can use these findings to inform their assessments, develop person-centered care plans, and address barriers.
接受长期服务和支持（LTSS）的老年人在户外活动方面存在障碍，他们对这些体验的满意度也不是很清楚。我们的研究使用了横断面数据（n=329），（a）检验新接受 LTSS 的老年人是否对他们的户外活动感到满意，以及（b）描述与满意度水平相关的特征和因素。户外活动满意度的自我报告是因变量。对结果进行了多变量线性回归建模。59%的人对他们的户外活动感到满意。更多的抑郁症状（<0.001）和更高的认知功能（=0.011）与较低的评分相关。更高的自我报告的身体健康（=0.009）和更多的日常生活活动独立性（=0.022）与更大的满意度相关。研究结果表明，在新接受 LTSS 的老年人中，有四成（41%）存在户外活动方面的未满足需求。LTSS 跨学科团队可以利用这些发现进行评估，制定以患者为中心的护理计划，并解决障碍。
